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878 W Market St Akron OH 44303-1158 | |
| (234) 678-5941 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 878 W Market St, Akron, Ohio |
| Authorized Official Name and Position | Cory Eastgate (PARTNER) |
| Authorized Official Contact | 3308151551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
878 W Market St Akron OH 44303-1158 Ph: (234) 678-5941 | 878 W Market St Akron OH 44303-1158 Ph: (234) 678-5941 |
| NPI Number | 1043857303 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043857303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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